{"id":"https://openalex.org/W7223570652","doi":"https://doi.org/10.1002/hsr2.73359","title":"Determinants of Pneumococcal Vaccination Decision\u2010Making Among High\u2011Risk Adults: A Qualitative Study Guided by the Theoretical Domains Framework","display_name":"Determinants of Pneumococcal Vaccination Decision\u2010Making Among High\u2011Risk Adults: A Qualitative Study Guided by the Theoretical Domains Framework","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223570652","doi":"https://doi.org/10.1002/hsr2.73359","pmid":"https://pubmed.ncbi.nlm.nih.gov/42936154","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13696756"},"language":"en","primary_location":{"id":"doi:10.1002/hsr2.73359","doi":"https://doi.org/10.1002/hsr2.73359","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73359","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73359","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73359","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5104264211","display_name":"Claire Chenwen Zhong","orcid":"https://orcid.org/0000-0001-8079-3634","observed_orcids":["https://orcid.org/0000-0001-8079-3634"]},"institutions":[{"id":"https://openalex.org/I177725633","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48","country_code":"HK","type":"education","lineage":["https://openalex.org/I177725633"]}],"countries":["HK"],"is_corresponding":false,"raw_author_name":"Claire Chenwen Zhong","raw_affiliation_strings":["Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China"],"raw_orcid":"https://orcid.org/0000-0001-8079-3634","affiliations":[{"raw_affiliation_string":"Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]},{"raw_affiliation_string":"The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025873882","display_name":"M. L. Chen","orcid":"https://orcid.org/0009-0007-1628-8554","observed_orcids":["https://orcid.org/0009-0007-1628-8554","https://orcid.org/0000-0003-0447-5348"]},"institutions":[{"id":"https://openalex.org/I177725633","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48","country_code":"HK","type":"education","lineage":["https://openalex.org/I177725633"]}],"countries":["HK"],"is_corresponding":false,"raw_author_name":"Mingtao Chen","raw_affiliation_strings":["The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China"],"raw_orcid":"https://orcid.org/0009-0007-1628-8554","affiliations":[{"raw_affiliation_string":"The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072908129","display_name":"Man Kin Yim","orcid":"https://orcid.org/0009-0002-9422-3960","observed_orcids":["https://orcid.org/0009-0002-9422-3960"]},"institutions":[{"id":"https://openalex.org/I177725633","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48","country_code":"HK","type":"education","lineage":["https://openalex.org/I177725633"]}],"countries":["HK"],"is_corresponding":false,"raw_author_name":"Man Kin Yim","raw_affiliation_strings":["The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150786765","display_name":"Sammi Ng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177725633","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48","country_code":"HK","type":"education","lineage":["https://openalex.org/I177725633"]}],"countries":["HK"],"is_corresponding":false,"raw_author_name":"Sammi Ng","raw_affiliation_strings":["The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081987954","display_name":"Junjie Huang","orcid":"https://orcid.org/0000-0003-2382-4443","observed_orcids":["https://orcid.org/0000-0003-2382-4443","https://orcid.org/0009-0009-2663-0848","https://orcid.org/0009-0000-9049-5630","https://orcid.org/0009-0002-2046-5393","https://orcid.org/0009-0005-6600-3225"]},"institutions":[{"id":"https://openalex.org/I177725633","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48","country_code":"HK","type":"education","lineage":["https://openalex.org/I177725633"]}],"countries":["HK"],"is_corresponding":true,"raw_author_name":"Junjie Huang","raw_affiliation_strings":["Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China"],"raw_orcid":"https://orcid.org/0000-0003-2382-4443","affiliations":[{"raw_affiliation_string":"Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]},{"raw_affiliation_string":"The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5064922279","display_name":"Martin C. S. Wong","orcid":"https://orcid.org/0000-0001-7706-9370","observed_orcids":["https://orcid.org/0000-0001-7706-9370"]},"institutions":[{"id":"https://openalex.org/I177725633","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48","country_code":"HK","type":"education","lineage":["https://openalex.org/I177725633"]}],"countries":["HK"],"is_corresponding":true,"raw_author_name":"Martin C. S. Wong","raw_affiliation_strings":["Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China"],"raw_orcid":"https://orcid.org/0000-0001-7706-9370","affiliations":[{"raw_affiliation_string":"Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]},{"raw_affiliation_string":"The Jockey Club School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong China","institution_ids":["https://openalex.org/I177725633"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5064922279","https://openalex.org/A5081987954"],"corresponding_institution_ids":["https://openalex.org/I177725633"],"apc_list":{"value":3280,"currency":"USD","value_usd":3280},"apc_paid":{"value":3280,"currency":"USD","value_usd":3280},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.82543906,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"10","first_page":"e73359","last_page":"e73359"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.0038999998942017555,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11542","display_name":"Behavioral Health and Interventions","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pneumococcal-vaccination","display_name":"pneumococcal vaccination","score":0.9980000257492065},{"id":"https://openalex.org/keywords/vaccine-decision-making","display_name":"vaccine decision-making","score":0.9110000133514404},{"id":"https://openalex.org/keywords/theoretical-domains-framework","display_name":"Theoretical Domains Framework","score":0.8629999756813049},{"id":"https://openalex.org/keywords/barriers-to-vaccination","display_name":"barriers to vaccination","score":0.6000000238418579},{"id":"https://openalex.org/keywords/vaccine-hesitancy","display_name":"vaccine hesitancy","score":0.8169999718666077},{"id":"https://openalex.org/keywords/trust-in-healthcare-providers","display_name":"trust in healthcare providers","score":0.7670000195503235},{"id":"https://openalex.org/keywords/vaccine-communication","display_name":"vaccine communication","score":0.5170000195503235},{"id":"https://openalex.org/keywords/vaccine-access","display_name":"vaccine access","score":0.42800000309944153},{"id":"https://openalex.org/keywords/perceived-vaccine-safety","display_name":"perceived vaccine safety","score":0.3630000054836273},{"id":"https://openalex.org/keywords/perceived-urgency","display_name":"perceived urgency","score":0.44600000977516174},{"id":"https://openalex.org/keywords/high-risk-adults","display_name":"high-risk adults","score":0.7160000205039978},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7639999985694885},{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.8370000123977661},{"id":"https://openalex.org/keywords/hong-kong","display_name":"Hong Kong","score":0.8040000200271606}],"concepts":[{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.8256000280380249},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6776999831199646},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6207000017166138},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6033999919891357},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5347999930381775},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.4537999927997589},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4300999939441681},{"id":"https://openalex.org/C2910282157","wikidata":"https://www.wikidata.org/wiki/Q14538008","display_name":"Pneumococcal vaccination","level":4,"score":0.42719998955726624},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.41499999165534973},{"id":"https://openalex.org/C2779892413","wikidata":"https://www.wikidata.org/wiki/Q7205992","display_name":"Pneumococcal pneumonia","level":4,"score":0.4090000092983246},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.39640000462532043},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.32989999651908875},{"id":"https://openalex.org/C2779301066","wikidata":"https://www.wikidata.org/wiki/Q14538008","display_name":"Pneumococcal vaccine","level":4,"score":0.31929999589920044},{"id":"https://openalex.org/C1602351","wikidata":"https://www.wikidata.org/wiki/Q381370","display_name":"Health belief model","level":4,"score":0.3109000027179718},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.30379998683929443},{"id":"https://openalex.org/C2776152631","wikidata":"https://www.wikidata.org/wiki/Q4366062","display_name":"Pneumococcal infections","level":4,"score":0.29490000009536743},{"id":"https://openalex.org/C2776548248","wikidata":"https://www.wikidata.org/wiki/Q12621536","display_name":"Judgement","level":2,"score":0.2946999967098236},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.27970001101493835},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2680000066757202},{"id":"https://openalex.org/C84265765","wikidata":"https://www.wikidata.org/wiki/Q193219","display_name":"Subsidy","level":2,"score":0.26030001044273376},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.2596000134944916},{"id":"https://openalex.org/C2780801004","wikidata":"https://www.wikidata.org/wiki/Q1415366","display_name":"Immunization","level":3,"score":0.25600001215934753},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.2533999979496002},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.2524000108242035}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/hsr2.73359","doi":"https://doi.org/10.1002/hsr2.73359","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73359","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73359","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13696756","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13696756/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13696756/pdf/HSR2-9-e73359.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Sci Rep","raw_type":"Text"},{"id":"pmid:42936154","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42936154","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health science reports","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:5c480182cb4c4325954f7a9986b9479e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/5c480182cb4c4325954f7a9986b9479e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Science Reports, Vol 9, Iss 10, Pp n/a-n/a (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/hsr2.73359","doi":"https://doi.org/10.1002/hsr2.73359","is_oa":true,"landing_page_url":"https://doi.org/10.1002/hsr2.73359","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.73359","source":{"id":"https://openalex.org/S4210188016","display_name":"Health Science Reports","issn_l":"2398-8835","issn":["2398-8835"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Science Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320307765","display_name":"Pfizer","ror":"https://ror.org/01xdqrp08"},{"id":"https://openalex.org/F4320307770","display_name":"AstraZeneca","ror":"https://ror.org/04r9x1a08"},{"id":"https://openalex.org/F4320307773","display_name":"GlaxoSmithKline","ror":"https://ror.org/01xsqw823"},{"id":"https://openalex.org/F4320318131","display_name":"Pfizer Hong Kong","ror":"https://ror.org/028b8g929"},{"id":"https://openalex.org/F4320319071","display_name":"Moderna","ror":"https://ror.org/01xm4wg91"},{"id":"https://openalex.org/F4320322942","display_name":"Chinese University of Hong Kong","ror":"https://ror.org/00t33hh48"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223570652.pdf","grobid_xml":"https://content.openalex.org/works/W7223570652.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W1524907399","https://openalex.org/W2046935294","https://openalex.org/W2077109464","https://openalex.org/W2092545077","https://openalex.org/W2094787926","https://openalex.org/W2097822636","https://openalex.org/W2109608360","https://openalex.org/W2138554949","https://openalex.org/W2155874729","https://openalex.org/W2278843343","https://openalex.org/W2331393505","https://openalex.org/W2344526152","https://openalex.org/W2518055572","https://openalex.org/W2674995983","https://openalex.org/W2803915156","https://openalex.org/W3038602641","https://openalex.org/W3159249519","https://openalex.org/W3216561106","https://openalex.org/W4283775938","https://openalex.org/W4292454331","https://openalex.org/W4301606149","https://openalex.org/W4309575819","https://openalex.org/W4319063104","https://openalex.org/W4365150405","https://openalex.org/W4366590717","https://openalex.org/W4375853116","https://openalex.org/W4377115976","https://openalex.org/W4389484459","https://openalex.org/W4394824789","https://openalex.org/W4396828162","https://openalex.org/W4407240269","https://openalex.org/W4410482685","https://openalex.org/W4412769385","https://openalex.org/W4413054294","https://openalex.org/W4413436613","https://openalex.org/W4414218458","https://openalex.org/W4415226026"],"related_works":["https://openalex.org/W4414345964","https://openalex.org/W4409701753","https://openalex.org/W4403814271","https://openalex.org/W4415730150","https://openalex.org/W4412769385","https://openalex.org/W2896055362","https://openalex.org/W4283761640","https://openalex.org/W4410909001","https://openalex.org/W3208808538","https://openalex.org/W4415226026"],"abstract_inverted_index":{"Background":[0],"and":[1,13,31,64,69,102,132,170,185,206,215,220,246,258,270,282],"Aims:":[2],"Pneumococcal":[3,231],"disease":[4],"(PD)":[5],"poses":[6],"a":[7,240],"substantial":[8],"burden":[9],"among":[10,51,234],"older":[11],"adults":[12,53,236],"individuals":[14],"with":[15],"chronic":[16],"conditions,":[17],"yet":[18],"pneumococcal":[19,35,55,70,118,168,284],"vaccination":[20,36,43,56,169,172,181,213,232,265,285],"uptake":[21],"remains":[22],"suboptimal":[23],"in":[24,129,134,180,287],"Hong":[25,288],"Kong.":[26,289],"Understanding":[27],"the":[28,80,171],"psychological,":[29,100,244],"social,":[30,101,245],"contextual":[32,103],"determinants":[33,104],"of":[34,99,105,111,145,167,188,212,242,257],"decision\u2011making":[37],"is":[38],"essential":[39],"for":[40],"strengthening":[41],"adult":[42],"strategies.":[44],"Methods:":[45],"A":[46],"qualitative":[47],"study":[48],"was":[49,237],"conducted":[50],"24":[52],"from":[54,89],"target":[57],"groups.":[58],"Semi\u2011structured":[59],"interviews":[60],"explored":[61],"perceptions,":[62],"motivations,":[63],"barriers":[65,163,227],"related":[66],"to":[67,116,228,260],"PD":[68,189],"vaccination.":[71,146,229],"Data":[72],"were":[73,122,164,223],"analysed":[74],"using":[75],"thematic":[76],"analysis":[77],"informed":[78],"by":[79,124,239,252],"Theoretical":[81],"Domains":[82],"Framework":[83],"(TDF).":[84],"The":[85,161],"TDF":[86],"synthesizes":[87],"constructs":[88],"behaviour":[90],"change":[91],"theories":[92],"into":[93],"14":[94],"domains,":[95],"enabling":[96],"systematic":[97],"examination":[98],"health":[106],"behaviours.":[107],"Results:":[108],"Over":[109],"half":[110],"participants":[112],"(13/24)":[113],"expressed":[114],"willingness":[115],"receive":[117],"vaccination,":[119,154],"though":[120],"decisions":[121],"shaped":[123],"complex":[125],"multi\u2011level":[126],"influences.":[127,248],"Trust":[128],"healthcare":[130,253],"professionals":[131],"confidence":[133],"government":[135],"recommendations,":[136],"reflecting":[137],"Social":[138],"influences,":[139],"emerged":[140],"as":[141,150,156,225],"commonly":[142],"reported":[143,193,224],"facilitators":[144],"Financial":[147],"support,":[148],"such":[149],"subsidies":[151],"or":[152,263],"free":[153,262],"served":[155],"an":[157],"important":[158],"Reinforcement":[159],"mechanism.":[160],"predominant":[162],"limited":[165,186,210],"understanding":[166],"programme":[173],"(Knowledge),":[174],"strong":[175],"reliance":[176],"on":[177],"personal":[178],"judgement":[179],"decision-making":[182,233],"(Social":[183],"influences),":[184],"knowledge":[187],"(Knowledge).":[190],"Participants":[191],"also":[192],"concerns":[194],"about":[195,200],"potential":[196],"adverse":[197],"effects":[198],"(Beliefs":[199],"consequences),":[201],"low":[202],"perceived":[203,280],"urgency":[204],"(Intentions),":[205],"practical":[207],"constraints,":[208],"including":[209],"accessibility":[211],"sites":[214],"appointment":[216],"difficulties":[217],"(Environmental":[218],"context":[219],"resources),":[221],"which":[222],"additional":[226],"Conclusions:":[230],"high\u2011risk":[235],"influenced":[238],"combination":[241],"informational,":[243],"structural":[247],"Strengthening":[249],"vaccine":[250],"communication":[251],"professionals,":[254],"improving":[255,267],"awareness":[256],"access":[259],"existing":[261],"subsidised":[264],"services,":[266],"service":[268],"accessibility,":[269],"delivering":[271],"sustained":[272],"public":[273],"education":[274],"may":[275],"help":[276],"address":[277],"misconceptions,":[278],"elevate":[279],"need,":[281],"improve":[283],"coverage":[286]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-26T00:00:00"}